DE69725216T2 - Lockable handle mechanism with variable positions - Google Patents
Lockable handle mechanism with variable positions Download PDFInfo
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- DE69725216T2 DE69725216T2 DE69725216T DE69725216T DE69725216T2 DE 69725216 T2 DE69725216 T2 DE 69725216T2 DE 69725216 T DE69725216 T DE 69725216T DE 69725216 T DE69725216 T DE 69725216T DE 69725216 T2 DE69725216 T2 DE 69725216T2
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- locking
- surgical instrument
- handle
- locking lug
- actuator
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/2833—Locking means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2946—Locking means
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- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Ophthalmology & Optometry (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
Hintergrund der Erfindungbackground the invention
Die vorliegende Erfindung bezieht sich im allgemeinen auf chirurgische Handgeräte und insbesondere auf einen neuen und nützlichen Verriegelungsmechanismus für den Griff eines endoskopischen Handgeräts.The present invention relates generally refer to handheld surgical devices, and in particular to one new and useful Locking mechanism for the handle of an endoscopic handheld device.
Bei minimal invasiven Eingriffen werden langgestreckte Schaftinstrumente in Zugangsöffnungen, wie Trokare, verwendet, um Gewebe zu greifen, schneiden, durchtrennen und manipulieren. Diese Instrumente haben einen Griff, der sich außerhalb des Körpers befindet, damit der Chirurg den End-Manipulator des Instruments steuern kann. Im allgemeinen haben diese Instrumente koaxiale Schäfte, die für das Abdichten zum Trokar und das Übertragen von Bewegung und Kraft durch den Trokar auf den End-Manipulator verwendet werden, um Aufgaben, wie das Schneiden, Greifen oder Durchtrennen von Gewebe, auszuführen. Üblicherweise ist mit den koaxialen Schäften ein Drehknopf verbunden, damit diese Schäfte gedreht werden können. Weiterhin sind einige Handinstrumente mit Anbaugeräten für ein- und zweipolige Energie ausgestattet. Dementsprechend haben diese Gerätearten normalerweise eine elektrische Isolierung, die die koaxialen Schäfte zum Schutz des Chirurgen und Patienten abdeckt.With minimally invasive interventions elongated shaft instruments in access openings, like trocars, used to grasp, cut, sever tissue and manipulate. These instruments have a handle that is outside of the body to allow the surgeon to manipulate the instrument can control. Generally, these instruments have coaxial shafts that for the Sealing to the trocar and transferring of movement and power through the trocar to the end manipulator used to perform tasks such as cutting, gripping or cutting of tissues. Usually is with the coaxial shafts a rotary knob connected so that these shafts can be rotated. Furthermore are some hand-held instruments with attachments for single and bipolar energy fitted. Accordingly, these types of devices usually have one electrical insulation covering the coaxial shafts to protect the surgeon and covering patients.
Die strengen Bedingungen des minimal invasiven Eingriffs schreiben vor, daß die Handinstrumente bestimmte Funktionen erfüllen, wie richtige Ergonomie, Steuerung und fühlbares Rückkopplung durch den Griff. Diese Funktionen sind unerläßlich für den Chirurgen, um das Operationsverfahren ordnungsgemäß durchzuführen. Instrumente für minimal invasive Eingriffe, die eine grobe Bewegung erlauben, komplizieren das Verfahren und frustrieren den Chirurgen oft, weil er weiter vom herkömmlichen Tasten und Fühlen einer Operation, das normalerweise mit offenen Eingriffen verbunden ist, entfernt ist.The strict conditions of the minimal invasive surgery dictate that the hand instruments determine Perform functions, like correct ergonomics, control and tactile feedback through the handle. These functions are essential for the surgeon, to properly perform the surgical procedure. Instruments for minimally invasive Interventions that allow rough movement complicate the procedure and often frustrate the surgeon because he continues from the conventional Feel and feel an operation that is usually associated with open surgery is removed.
Bei einigen Operationsverfahren ist oft ein Klemmelement am Handinstrument erforderlich, damit eine Retraktion vermieden oder eine Manipulierung in fester Position ermöglicht wird. Ein Klemmelement wird herkömmlicherweise bei chirurgischen Instrumenten vorgesehen, die für offene Eingriffe verwendet werden, und wird als wichtiges Element bei minimal invasiven Operationsverfahren betrachtet. Diese Instrumenten haben im allgemeinen scherenähnliche Griffe mit einer Hakenleiste auf einem Griffschenkel des Betätigungselements und ein Klinkengegenstück auf dem anderen Griffschenkel. Das Einklinken erfolgt auf der medialen Ebene des Instruments, wie im US-Patent 1.659.112 (Littlejohn) beschrieben.With some surgical procedures often a clamping element on the hand instrument is required so that a Avoid retraction or manipulation in a fixed position allows becomes. A clamping element is becoming conventional intended for surgical instruments used for open procedures and will be an important element in minimally invasive surgical procedures considered. These instruments are generally scissor-like Handles with a hook bar on a handle leg of the actuator and a jack counterpart on the other handle leg. The latching takes place on the medial Instrument level as described in US Patent 1,659,112 (Littlejohn).
Es ist wichtig festzustellen, daß dieses Klemmverfahren für herkömmliche oder Instrumente für offene Eingriffe effektiv ist, doch minimal invasive oder laparoskopische Instrumente werden üblicherweise mit Pistolengriffen versehen, wodurch diese Art Klemmvorgang umständlich und weitgehend uneffektiv wird. Eine andere Methode zum Klemmen von Pistolengriffen endoskopischer Handinstrumente wird im US-Patent 5,176,702 (Bales) offengelegt. Bei dieser Ausführung wird eine Leiste am unteren Teil des beweglichen Bereiches des Griffs angebracht, und eine Sperrklinke wird am Unterteil des stationären Griffbereichs angebracht. Wenn die beiden Griffhälften aufeinander zu bewegt werden, kommen die Klinke und die Leiste in Eingriff, wobei der Griff in dieser Position verriegelt wird. Die Leiste freigegeben, indem die Klinke von der Leiste mit Hilfe einer Nockenvorrichtung weg bewegt wird. Jedoch muß, aufgrund der Hinterschneidung an der Leisten/Klinken-Schnittstelle, der Druck zwischen der Leiste und der Klinke abgebaut werden, indem der bewegliche Griffteil näher zum stationären Teil bewegt wird, wodurch eine Freigabe bewirkt wird. Ein großer Nachteil dieses Griffverriegelungselements, was Chirurgen Sorgen bereitet, besteht darin, daß zur Freigabe weiterer Druck und Belastung auf das Gewebe ausgeübt wird, das zwischen den Backen des End-Manipulators des Instruments gehalten wird.It is important to note that this clamping method for conventional or instruments for open surgery is effective, yet minimally invasive or laparoscopic Instruments are commonly used provided with pistol handles, which makes this type of clamping process cumbersome and becomes largely ineffective. Another method of clamping Gun handles of endoscopic hand instruments are described in the U.S. patent 5,176,702 (Bales). In this version, a bar is at the bottom Part of the movable area of the handle attached, and a pawl is on the lower part of the stationary Grip area attached. When the two halves of the handle move towards each other the latch and the bar come into engagement, with the Handle is locked in this position. The bar is released by the pawl away from the bar using a cam device is moved. However, due to the undercut on the last / jack interface, the pressure between the bar and the pawl can be reduced by the movable handle part closer for stationary Part is moved, which causes a release. A big disadvantage of this Handle locking element, which is of concern to surgeons in that for Releasing further pressure and strain on the tissue is exerted which is held between the jaws of the instrument's end manipulator becomes.
Eine weitere Methode für das Klemmen in einem chirurgischen Handinstrument wird in den US-Patenten 5.483.952 (Aranyi) und 5.476.479 (Green u. Miterf.) offengelegt, in denen eine Leiste direkt am Betätigungselement angebracht wird, das Bewegung und Kraft vom Griff auf den End-Manipulator überträgt. Eine Klinke wird auf dem stationären Teil des Griffs angebracht und steht beweglich mit der Leiste im eingriff. Wenn die Klinke in Richtung Leiste bewegt wird, rastet sie inkremental in die Zähne der Leiste ein, wenn die Betätigungsstange während der Betätigung in Längsrichtung bewegt wird. Ein großer Nachteil dieser Ausführung besteht darin, daß die Klinke gekoppelt werden muß mit einem Freigabeauslöser mit wesentlichem mechanischen Vorteil aufgrund der hohen Kraft, die für die Trennung der Klinke von der Leiste unter Belastung erforderlich ist. Um außerdem eine nutzbare Lösung des Verriegelungsmechanismus zu erreichen und einen Klemmdruck aufrecht zu erhalten, muß die Leiste entweder sehr kleine Zähne haben oder es muß ein zusätzlicher Federwiderstand in die Betätigungsvorrichtung distal zur Verriegelungsleiste eingebaut werden. Ein weiterer Nachteil dieser Ausführung besteht darin, daß der Verriegelungsmechanismus auf das Verriegeln des Betätigungssystems in einzelnen oder vorgegebenen Positionen, gewöhnlich fünf bis zehn verschiedene Positionen, beschränkt ist. Dadurch muß der Chirurg eine Klemmkraft wählen, die schließlich zu schwach oder zu stark sein kann.Another method for clamping in a handheld surgical instrument is described in U.S. Patents 5,483,952 (Aranyi) and 5,476,479 (Green et al.), In which a bar directly on the actuator is attached, which transfers movement and force from the handle to the end manipulator. A Jack is on the stationary part attached to the handle and is movably engaged with the bar. When the pawl is moved towards the bar, it snaps incrementally in the teeth the bar when the operating rod while of actuation longitudinal is moved. A great disadvantage this version is that the jack must be coupled with a release trigger with significant mechanical advantage due to the high force, the for the separation of the pawl from the bar under load is required is. To also a usable solution to reach the locking mechanism and maintain a clamping pressure to get the Groin either very small teeth have or it must be additional Spring resistance into the actuator distally to be installed to the locking bar. Another disadvantage this version is that the Locking mechanism on locking the actuation system in single or predetermined positions, usually five to ten different positions, limited is. As a result, the Surgeon choose a clamping force which eventually too can be weak or too strong.
Ein weiteres bekanntes Merkmal eines Handinstruments ist eine Verriegelung, wie sie in den US-Patenten Nr. 804.229 (Hutchinson) und Nr. 5.314.424 (Nicholas) offengelegt wird. Beide beschreiben einen Verriegelungsmechanismus, der direkt an der Betätigungsstange des Instruments verriegelt ist. Diese Art der Verriegelung ist jedoch hinsichtlich Auflösung beschränkt und erfordert einen zusätzlichen Federwiderstand, der in die Betätigungsvorrichtung eingebaut werden muß, um wirksam zu sein.Another known feature of a hand instrument is a lock, such as that disclosed in U.S. Patents No. 804,229 (Hutchinson) and No. 5,314,424 (Nicholas). Both describe a locking mechanism that ver directly on the operating rod of the instrument is locked. However, this type of locking is limited in resolution and requires additional spring resistance which must be built into the actuator to be effective.
DE-C-836 545 legt ein chirurgisches Instrument in Zangenform offen, bei dem die Trennung der scherenähnlichen Griffteile durch eine variable Verriegelungsvorrichtung gesteuert und fixiert wird. Die Verriegelungsvorrichtung umfaßt eine Stange, die sich von einem ersten Griffteil durch einen zweiten Griffteil und eine Öffnung in einem Hebelanschlagelement erstreckt. Eine Feder spannt das Anschlagelement in einer Richtung vor, in der seine Öffnung kraftschlüssig mit der Querstange in Eingriff steht, um deren Bewegung zu verhindern, wodurch die Griffteile verriegelt werden.DE-C-836 545 specifies a surgical Instrument in the form of pliers open, in which the separation of the scissors-like Handle parts controlled by a variable locking device and is fixed. The locking device comprises a Rod extending from a first handle part through a second handle part and an opening extends in a lever stop element. A spring tensions the stop element in a direction in which its opening is non-positively the crossbar is engaged to prevent it from moving, whereby the handle parts are locked.
Bis heute gibt es keinen bekannten Griffverriegelungsmechanismus für ein chirurgisches Handinstrument, das die Nachteile der oben genannten Vorrichtungen nach dem Stand der Technik beseitigt.To date, there is no known one Handle lock mechanism for a surgical hand instrument that has the disadvantages of the above devices eliminated according to the prior art.
Es ist eine Aufgabe der vorliegenden Erfindung, einen Griffverriegelungsmechanismus für ein chirurgisches Handinstrument bereitzustellen, der völlige Variabilität hinsichtlich der Verriegelungsposition des End-Manipulators erlaubt.It is a task of the present Invention, a handle lock mechanism for a surgical hand instrument to provide the complete variability allowed with regard to the locking position of the end manipulator.
Es ist eine weitere Aufgabe der vorliegenden Erfindung, einen Verriegelungsmechanismus bereitzustellen, der Fehlfunktionen aufgrund von Gewebstrümmeransammlungen oder Kontamination verhindert.It is another object of the present invention to provide a locking mechanism that malfunctions due to debris accumulation or contamination prevented.
Es ist eine weitere Aufgabe der vorliegenden Erfindung, einen Griffverriegelungsmechanismus bereitzustellen, der die Freigabe des End-Manipulators unabhängig vom Betätigungsgriff derart gestattet, daß, wenn ein Freigabeauslöser gedrückt wird, die Verriegelung aufgehoben wird, ohne daß man den Betätigungsgriff bewegen muß.It is another object of the present invention to provide a handle locking mechanism that enables the release of the end manipulator independently from the operating handle permitted in such a way that if a release trigger depressed is, the lock is released without having to pull the operating handle must move.
Es ist eine weitere Aufgabe der vorliegenden Erfindung, einen Griffverriegelungsmechanismus bereitzustellen, der problemlos funktioniert und ruhig arbeitet.It is another object of the present invention to provide a handle lock mechanism that is easy works and works calmly.
Es ist eine weitere Aufgabe der vorliegenden Erfindung, einen Griffverriegelungsmechanismus bereitzustellen, mit dem der End-Manipulator des Instruments nach Wunsch des Benutzers ohne weiteres außer Eingriff gebracht werden kann.It is another object of the present invention to provide a handle locking mechanism with which the End manipulator of the instrument at the user's request without further ado except Intervention can be brought.
Es ist eine weitere Aufgabe der vorliegenden Erfindung, einen Griffverriegelungsmechanismus bereitzustellen, der eine vom Benutzer steuerbare Spannkraft auf den End-Manipulator erlaubt, indem der natürliche Federwiderstand des Betätigungssystems genutzt wird, wodurch eine bessere Lösung der Verriegelung möglich ist.It is another object of the present invention to provide a handle locking mechanism that one of the User controllable clamping force on the end manipulator allowed by the natural spring resistance of the actuation system is used, which enables a better solution to the locking.
Zusammenfassung der ErfindungSummary of the invention
Die vorliegende Erfindung stellt ein chirurgisches Instrument gemäß Anspruch 1 zur Verfügung.The present invention provides a surgical instrument according to claim 1 available.
Das Anbringen der Verriegelungsstange in dieser Position bietet eine stärkere Auflösung der Bewegung der Verriegelungsstange in Bezug auf die Bewegung der Betätigungsstange, wodurch eine bessere Auflösung und Kontrolle der Verriegelungsposition möglich ist.Attaching the locking bar in this position offers greater resolution of the movement of the locking bar in relation to the movement of the actuating rod, creating a better resolution and control of the locking position is possible.
Weiterhin nutzt die Anbringung der Verriegelungsstange in dieser Position den natürliche Federwiderstand im gesamten Betätigungssystem, wodurch die Lösung der Verriegelungsposition weiter verbessert wird.Furthermore, the attachment of the Locking bar in this position the natural spring resistance throughout Actuating system making the solution the locking position is further improved.
Weiterhin verbessert das Anbringen der Verriegelungsstange in dieser Position den mechanischen Vorteil der Kraft, die erzeugt wird, indem die Verriegelungsnase an der Verriegelungsstange gehalten, die Wirksamkeit des Verriegelungsmechanismus verbessert und die Kraft, die für das Bewirken der Freigabe erforderlich ist verringert wird.Furthermore, the attachment improves the locking bar in this position the mechanical advantage the force generated by the locking tab on the Locking rod held, the effectiveness of the locking mechanism improved and the strength needed for effecting the release is reduced.
Bevorzugte Ausführungsformen des chirurgischen Instruments werden in den Ansprüchen 2 bis 11 definiert.Preferred embodiments of the surgical Instruments are in the claims Defined 2 to 11.
Die verschiedenen Merkmale der Neuheit, die die Erfindung charakterisieren, werden detailliert in den Ansprüchen dargelegt, die hier angefügt sind und Teil dieser Offenlegung bilden. Zum besseren Verständnis der Erfindung, seiner Anwendungsvorteile und speziellen Aufgaben, die vom Anwender erreicht werden, wird auf die Begleitzeichnungen und Beschreibung Bezug genommen, in denen die bevorzugten Ausführungsformen der Erfindung dargestellt werden.The various features of novelty that characterize the invention are set forth in detail in the claims, the attached here are and form part of this disclosure. To better understand the Invention, its application advantages and special tasks that Reached by the user will refer to the accompanying drawings and description Reference in which the preferred embodiments of the invention being represented.
Kurze Beschreibung der ZeichnungenShort description of the drawings
Beschreibung der bevorzugten AusführungsformenDescription of the preferred embodiments
Die vorliegende Erfindung, wie sie
am besten in den
Wie in
Wie in
Wie in den
Der Griffbetätigungselement
Eine gebogene Verriegelungsstange
Nach dem Zusammenbau wird die Verriegelungsnase
Beim Einsatz wird die Verriegelungsvorrichtung
Wird der Druck vom Griffbetätigungselement
Wirkt, wenn der Auslöser
Eine alternative Ausführungsform
der vorliegenden Erfindung wird in
Die Verriegelungsnase
Diese alternative Ausführungsform
verriegelt das Betätigungssystem
in der gleichen Weise, wie es in den vorangegangenen Abschnitten
beschrieben wurde. Um die Verriegelung zu lösen, drückt der Chirurg den Freigabeauslöser
Claims (11)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US668989 | 1996-06-21 | ||
US08/668,989 US5735874A (en) | 1996-06-21 | 1996-06-21 | Variable position handle locking mechanism |
Publications (2)
Publication Number | Publication Date |
---|---|
DE69725216D1 DE69725216D1 (en) | 2003-11-06 |
DE69725216T2 true DE69725216T2 (en) | 2004-08-05 |
Family
ID=24684571
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE69725216T Expired - Lifetime DE69725216T2 (en) | 1996-06-21 | 1997-06-20 | Lockable handle mechanism with variable positions |
Country Status (7)
Country | Link |
---|---|
US (1) | US5735874A (en) |
EP (1) | EP0813843B1 (en) |
JP (1) | JP4068687B2 (en) |
AU (1) | AU717023B2 (en) |
CA (1) | CA2208281C (en) |
DE (1) | DE69725216T2 (en) |
ES (1) | ES2208826T3 (en) |
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-
1996
- 1996-06-21 US US08/668,989 patent/US5735874A/en not_active Expired - Lifetime
-
1997
- 1997-06-16 AU AU24944/97A patent/AU717023B2/en not_active Ceased
- 1997-06-18 JP JP17657997A patent/JP4068687B2/en not_active Expired - Fee Related
- 1997-06-19 CA CA002208281A patent/CA2208281C/en not_active Expired - Fee Related
- 1997-06-20 ES ES97304351T patent/ES2208826T3/en not_active Expired - Lifetime
- 1997-06-20 EP EP97304351A patent/EP0813843B1/en not_active Expired - Lifetime
- 1997-06-20 DE DE69725216T patent/DE69725216T2/en not_active Expired - Lifetime
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EP0813843B1 (en) | 2003-10-01 |
JPH1071151A (en) | 1998-03-17 |
AU717023B2 (en) | 2000-03-16 |
AU2494497A (en) | 1998-01-08 |
DE69725216D1 (en) | 2003-11-06 |
CA2208281C (en) | 2007-03-27 |
US5735874A (en) | 1998-04-07 |
ES2208826T3 (en) | 2004-06-16 |
CA2208281A1 (en) | 1997-12-21 |
JP4068687B2 (en) | 2008-03-26 |
EP0813843A1 (en) | 1997-12-29 |
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